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Pbm Data Analyst Jobs in California (NOW HIRING)

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... Collaborating with Data & Analytics Engineers to architect robust data models and institute world ...

Consulting Pharmacist

San Diego, CA · On-site

$117K - $222K/yr

... PBM, WAC, etc. * Knowledge of claims data and how these manifest in claim adjudication and downstream analyses Personal Qualifications * Strong time management and people management skills

Consulting Pharmacist

San Diego, CA · On-site

$117K - $222K/yr

... PBM, WAC, etc. * Knowledge of claims data and how these manifest in claim adjudication and downstream analyses Personal Qualifications * Strong time management and people management skills

Consulting Pharmacist

San Diego, CA · On-site +1

$117K - $222K/yr

... PBM, WAC, etc. * Knowledge of claims data and how these manifest in claim adjudication and downstream analyses Personal Qualifications * Strong time management and people management skills

... data analysis * Demonstrated experience in pharmacy benefit management inclusive of benefit design, formulary strategy, utilization management programs, clinical programs PBM contracting, and ...

Analyze and monitor large data sets that are exchanged from SCAN to the PBM using a variety of reporting tools. * Accountable for ensuring eligibility and coordination of benefit files are sent to ...

Analyze and monitor large data sets that are exchanged from SCAN to the PBM using a variety of reporting tools. * Accountable for ensuring eligibility and coordination of benefit files are sent to ...

Health Plan Pharmacist

Huntington Beach, CA · On-site

$61.50 - $74/hr

Analyze pharmacy utilization, trend, and financial data to identify opportunities for improved ... You are comfortable challenging PBM partners and using data to influence pharmacy strategy and ...

Project Scheduler

Mojave, CA · On-site

$86K - $160K/yr

... data integrity between schedule, budget, and performance metrics. * Maintain and update budget forecasts, cash flow projections, and cost tracking based on PBM guidance. * Perform variance analysis ...

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Pbm Data Analyst information

What is a PBM data analyst?

A PBM Data Analyst is a professional who analyzes data related to Pharmacy Benefit Managers (PBMs), which are companies that manage prescription drug benefits on behalf of health insurers, Medicare Part D drug plans, large employers, and other payers. These analysts collect, process, and interpret large sets of pharmacy and claims data to help organizations optimize drug spending, ensure regulatory compliance, and improve patient outcomes. They often use statistical tools and data visualization software to identify trends, support business decisions, and generate reports for stakeholders. Strong analytical skills, attention to detail, and knowledge of healthcare and pharmacy data are essential for this role.

What are the key skills and qualifications needed to thrive as a PBM data analyst, and why are they important?

To thrive as a PBM Data Analyst, you need strong analytical skills, expertise in data management, and a background in pharmacy benefit management or healthcare analytics, often supported by a relevant degree. Proficiency in SQL, data visualization tools (such as Tableau or Power BI), and familiarity with PBM software systems are typically required. Attention to detail, problem-solving ability, and effective communication are essential soft skills for this role. These competencies are critical for accurately interpreting complex pharmacy data, informing business decisions, and ensuring regulatory compliance within the PBM industry.

What are the common challenges faced by PBM data analysts in ensuring data accuracy and compliance?

PBM Data Analysts often encounter challenges related to the integration and validation of large, complex datasets from multiple pharmacy benefit management systems. Ensuring data accuracy requires meticulous attention to detail and frequent cross-checking with regulatory requirements, as errors can impact patient care and contractual compliance. Analysts must also stay updated on evolving healthcare regulations and privacy laws, which adds complexity to their data management responsibilities. Collaboration with IT, compliance, and clinical teams is crucial to overcome these challenges and maintain high data integrity.

What is the difference between Pbm Data Analyst vs Pbm Data Analyst?

AspectPbm Data AnalystPbm Data Analyst
Required CredentialsBachelor's in Data Science, Analytics, or related field; certifications like CAP or Microsoft Certified Data AnalystBachelor's degree in relevant field; certifications such as CAP or Microsoft Certified Data Analyst are common
Work EnvironmentHealthcare or pharmaceutical companies analyzing medication data and patient informationHealthcare or pharmaceutical settings focusing on medication management and data reporting
Employer & Industry UsageUsed by healthcare providers, pharmaceutical companies, and health plansCommonly employed in healthcare organizations, pharmaceutical firms, and health insurance companies

The Pbm Data Analyst primarily focuses on analyzing pharmacy benefit management data to optimize medication costs and patient outcomes. Since both titles are identical, the comparison emphasizes the typical roles, credentials, and work environments associated with Pbm Data Analysts in healthcare and pharmaceutical industries.

What cities in California are hiring for Pbm Data Analyst jobs?

Cities in California with the most Pbm Data Analyst job openings:

Infographic showing various Pbm Data Analyst job openings in California as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 86% Physical, 3% Hybrid, and 11% Remote job distribution.

Senior Market Access Operations Analyst

Exelixis

Alameda, CA • On-site

$114K - $162K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago


Job description

SUMMARY:
The Senior Market Access Operations Analyst will be responsible for leading operational support for commercial and trade rebates, ensuring that all operational processes are in compliance with contracts and respective guidance provided.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
  • Lead the review and processing of all invoices managed by the Market Access Operations team; serve as the primary liaison for the invoice process, acting as the main end-to-end contact from Market Access. This role involves cross-functional interaction with FP&A, Procurement, Market Access Account Directors, Accounts Payable, and Vendors.
  • Enhance analysis reporting and workflow efficiency using tools such as Alteryx. Obtain a thorough understanding of PBM data, identify new trends, and present findings to leadership.
  • Collaborate with the data analytics team and IT to improve models and automate processes, ensuring streamlined operations.
  • Maintain comprehensive documentation of contracts, requisitions, and payments to support various audits and other reporting requirements.
  • Manage and execute special and ad-hoc projects related to market access as assigned by Market Access Leadership.
  • SUPERVISORY RESPONSIBILITIES:
  • May supervise junior analysts or support staff as needed.

EDUCATION/EXPERIENCE/SKILLS:
Education:
  • Bachelor's degree and five years of related experience with a concentration in Healthcare, Data Management, Finance, and/or Accounting; or the equivalent combination of education and work experience.
  • Experience/Knowledge/Skills:
  • Understanding of the US Healthcare System (desired)
  • Knowledge of the pharmaceutical industry and Market Access key functions (desired)
  • Reading and understanding statutes and law (desired)
  • Documenting Processes and Procedures
  • Strong computer skills including advanced Excel and data management skills
  • Ability to multi-task, organize and prioritize time-sensitive tasks
  • Demonstrates urgency, respect and confidentiality; is approachable and interacts professionally
  • Responds well to shifting priorities by maintaining flexibility and professionalism
  • Routinely produces quality work, contributes to efficiency and productivity
  • Ability to communicate effectively and professionally

Job Complexity:
  • Works on assignments that are complex in nature where the ability to recognize deviation from accepted practice is required
  • Applies learnings, job skills, and the company's policies and procedures to complete a variety of tasks
  • Builds cooperative team relations with colleagues throughout the organization

#LI-JP1
Our compensation reflects the cost of labor across several U.S. geographic markets, and we pay differently based on those defined markets. The base pay range for this position is $114,500 - $162,500 annually. The base pay range may take into account the candidate's geographic region, which will adjust the pay depending on the specific work location. The base pay offered will take into account the candidate's geographic region, job-related knowledge, skills, experience and internal equity, among other factors.
In addition to the base salary, as part of our Total Rewards program, Exelixis offers comprehensive employee benefits package, including a 401k plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts. Employees are also eligible for a discretionary annual bonus program, or if field sales staff, a sales-based incentive plan. Exelixis also offers employees the opportunity to purchase company stock, and receive long-term incentives, 15 accrued vacation days in their first year, 17 paid holidays including a company-wide winter shutdown in December, and up to 10 sick days throughout the calendar year.
If you have a disability and need an accommodation in relation to the recruiting process, please email us at: ApplicantAccommodations@exelixis.com
WORKING CONDITIONS:
Our office is a modern space that fosters collaboration and creativity. Teams work closely together, sharing ideas and solutions in a supportive atmosphere. We provide all necessary equipment, including dual monitors and ergonomic chairs, to ensure a comfortable workspace.
DISCLAIMER:
The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.